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Aliev S.A.

Department of surgical diseases №1, Azerbaijan medical university, Baku, Azerbaijan

Khydyrova N.M.

Kafedra khirurgicheskikh bolezneĭ #1 Azerbaĭdzhanskogo meditsinskogo universiteta, Klinicheskiĭ meditsinskiĭ tsentr, Baku, Respublika Azerbaĭdzhan

The choice of surgical tactics by unstable hemodynamics in patients with gastroduodenal ulcer bleeding

Authors:

Aliev S.A., Khydyrova N.M.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2010;(2): 30‑37

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Table of contents

THE CHOICE OF SURGICAL TACTICS BY UNSTABLE HEMODYNAMICS IN PATIENTS WITH GASTRODUODENAL ULCER BLEEDING
THE CHOICE OF SURGICAL TACTICS BY UNSTABLE HEMODYNAMICS IN PATIENTS WITH GASTRODUODENAL ULCER BLEEDING

To cite this article:

Aliev SA, Khydyrova NM. The choice of surgical tactics by unstable hemodynamics in patients with gastroduodenal ulcer bleeding. Pirogov Russian Journal of Surgery. 2010;(2):30‑37. (In Russ.)

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Treatment results of 476 patients with acute gastroduodenal ulcer bleeding were analyzed. Men comprised 75% (n=357), women - 25% (n=119). All patients were divided in two groups. Treatment principles of patients of the first group (36.8%; n=175) were based on active conservative treatment. Surgery was performed in 70.3%, postoperative lethality comprised 12.2%, overall mortality was 9.7%. Second group consisted of 301 patients (63.2%). Individual based active surgical treatment was performed, including clinical and endoscopic evaluation of local hemostasis, prognostic criteria of bleeding recurrence, differential approach in time, extent and method of the applied surgery. Operative treatment was used in 81.1% of patients of the second group, postoperative lethality comprised 9.8%, overall mortality was 8.0%. Emergency operations were performed in 43.6% (n=160) of all patients, early elective surgery in 56.4% (n=207). Postoperative lethality comprised 10.6%, overall mortality rate was 8.6%. Therefore, individual based active surgical treatment proved to be preferable. Gastric resection showed to be more advisable then organ-preserving operations, considering emergency ulcer surgery.

Keywords:

gastroduodenal ulcer bleeding
emergency ulcer surgery
gastroduodenal ulcer bleeding
emergency ulcer surgery

Authors:

Aliev S.A.

Department of surgical diseases №1, Azerbaijan medical university, Baku, Azerbaijan

Khydyrova N.M.

Kafedra khirurgicheskikh bolezneĭ #1 Azerbaĭdzhanskogo meditsinskogo universiteta, Klinicheskiĭ meditsinskiĭ tsentr, Baku, Respublika Azerbaĭdzhan

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References:

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